Dr Sally A Johnson, DDS in Coon Rapids, MN

Dr Sally A Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Coon Rapids, Minnesota. Her current practice location is 11475 Robinson Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 754-0041.

Dr Sally A Johnson is licensed to practice in Minnesota (license number 10193) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609979103.

Contact Information

	Dr Sally A Johnson, DDS
	11475 Robinson Dr Nw, Coon Rapids, MN 55433
	(763) 754-0041
	(763) 754-4506

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sally A Johnson
Gender	Female
Speciality	Dentist - General Practice
Location	11475 Robinson Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609979103
Provider Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688743107
Enrollment ID: I20080522000653

Medical Identifiers

Medical identifiers for Dr Sally A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609979103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	10193 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sally A Johnson allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sally A Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sally A Johnson, DDS Po Box 1309, Mail Code 21113a, Minneapolis, MN 55440-1309 Ph: (952) 883-5151	Dr Sally A Johnson, DDS 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Ph: (763) 754-0041

Reviews and Comments

Dentist in Coon Rapids, MN

Dr. Michele L Tafoya, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 Phone: 763-233-3390
Dr. Ramon Aguirre, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 320, Coon Rapids, MN 55433 Phone: 763-427-1720 Fax: 763-427-5659
Robert Sylvester Breitbach, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2519 Coon Rapids Blvd, Coon Rapids, MN 55433 Phone: 763-755-2830 Fax: 763-755-9356
Alexie Portz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042
Dr. Erik William Marksberry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10756 Butternut St Nw, Coon Rapids, MN 55448 Phone: 763-757-4170 Fax: 763-757-7940
Tina A Nguyen, Dentist Medicare: Medicare Enrolled Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042
Lisa Domeyer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11441 Osage St Nw, Coon Rapids, MN 55433 Phone: 763-757-6600 Fax: 763-757-6600

Dr Sally A Johnson, DDS - Medicare Dentist in Coon Rapids, MN